Opinion: We Need Human Services That Serve Communities
The “haves” continue to champion simplistic answers to complex problems that only continue to widen the chasm and leave the “have-nots” behind with hard truths and limited hope.
Dr. Michael Rohwer
Opinion: Reduce Homelessness by Changing Behavior
Stafford Beer, the British theorist, taught that “the purpose of a system is what it does.” But too often, what it does is not what was intended. If we want our community systems to produce something different, we need to do something different.
Opinion: One Child Spells Need To Rewire Our Future
To understand what has happened and why, we need to begin with an everyday reality in the story of one elementary student.
Opinion: Hospital Readmission Reduction Program Linked To Increase In Mortality
Hospitals and front-line physicians live at the interface of life and death where real-world facts beyond the immediate care setting control their lives and those of the individuals they care for.
Opinion: To Improve Social Determinants Of Health, Think Community, Not Population
Population-based methods work well in medicine. Answers found in simplified and controlled environments remain applicable in reality because the practice of medicine combines them with qualitative observation.
Opinion: Initiative in Marion and Polk Counties Help Families, Neighborhoods
The Fostering Hope Initiative works to repair problems at their root through a collaborative approach on the ground.
An initiative in Marion and Polk counties has a solution to strengthen at-risk families and build more resilient neighborhoods.
The Fostering Hope Initiative brings multiple partners together around a common goal, aligning resources and sharing leadership for planning and results.
Beyond payment reform: An innovation challenge for insurers
This article is the fourth in a five-part series. It follows “Purpose driven self-organizing healthcare” which explained what an adaptive delivery system might look at. This article describes the insurance model necessary to sustain it.
OPINION- The relationship between purchasers, providers, and consumers is dysfunctional.
Purpose Driven Self-Organizing Healthcare
This article is the third in a five-part series about a new model for sustainable healthcare delivery. The last article “Ashby’s law and the first step to affordable healthcare” explained why we need delivery networks as adaptable as delivery’s environment.
OPINION -- All of us and everything around us simultaneously participate in many networks and systems. Technology has extended what we refer to as a system, but the idea of connecting people, tools and resources to achieve a purpose is ancient.
Ashby’s Law and the First Step to Affordable Healthcare
This article follows “A tale of two systems”, published in a prior edition of The Lund Report. This article explains the first fundamental change necessary for successful management of healthcare delivery. It is also the first principle of the Curandi Model™, a “systems thinking” approach to healthcare reform.
OPINION-- Within healthcare delivery the patient-centered primary care home is improving care and lowering cost. And, in social services, co-location with clinical services similarly improves outcomes and lower cost. Why aren’t these innovative micro-system improvements resulting in premium decreases?
A Tale of Two Systems
To create real and lasting change, we must question our fundamental assumptions.
OPINION -- The work of Curandi is to transform healthcare into a living system that works. Today, we manage healthcare with industrial-age ideas.
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